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Ptosis.

L R Caplan

    Journal of Neurology, Neurosurgery, and Psychiatry
    |January 1, 1974
    PubMed
    Summary
    This summary is machine-generated.

    Ptosis, or drooping eyelid, can occur with acute stroke. This study found cerebral and brain-stem strokes can cause ptosis, sometimes with other neurological signs like hemiparesis.

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    Area of Science:

    • Neurology
    • Ophthalmology
    • Stroke Medicine

    Background:

    • Ptosis (drooping eyelid) is a recognized symptom that can occur following acute stroke.
    • Understanding the specific neurological pathways involved in stroke-induced ptosis is crucial for accurate diagnosis and management.
    • Previous studies have explored various causes, but a comprehensive analysis linking ptosis to specific stroke locations is warranted.

    Purpose of the Study:

    • To analyze the occurrence and characteristics of ptosis in patients experiencing acute stroke.
    • To differentiate ptosis caused by cerebral infarction from that related to brain-stem infarction.
    • To investigate the anatomical basis and associated neurological deficits in stroke-related ptosis.

    Main Methods:

    • Retrospective analysis of 25 patient cases presenting with ptosis and acute stroke.

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  • Categorization of stroke types into hemispheric infarction and brain-stem infarction.
  • Correlation of ptosis presentation with other neurological findings, including third nerve palsy, sympathetic dysfunction, and pyramidal tract damage.
  • Main Results:

    • Ptosis was observed in 25 acute stroke cases.
    • Thirteen cases of hemispheric infarction showed ptosis not attributable to third nerve or sympathetic dysfunction.
    • In cerebral cases, ptosis was often bilateral and influenced by factors like pyramidal tract damage, sometimes presenting with hemiparesis; 10 cases related to brain-stem infarction included two with isolated ipsilateral ptosis and contralateral third nerve palsy.

    Conclusions:

    • Acute stroke, both cerebral and brain-stem, can manifest with ptosis.
    • Cerebral ptosis may be bilateral and linked to pyramidal tract damage, potentially influencing eyelid fissure asymmetry.
    • Brain-stem strokes can cause isolated ptosis, sometimes in conjunction with cranial nerve palsies, highlighting diverse neuroanatomical correlations.